NPI | 1598418030 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA BROWNLEE President 601-577-2782 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-03 |